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Nutritional Assessment Flashcards

1
Q

What can vitamin D be an indicator of?

A

Inflammation

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2
Q

What are the signs/symptoms of Vit D deficiency?

A

Weakness

Depression

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3
Q

What are the genes/enzymes that need to be functioning, in order to convert folic acid to 5-methyltetrahydrofolate?

A

MTHFR

MTHFD1

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4
Q

What are the vitamins needed to convert folic acid to 5-methyltetrahydrofolate?

A 
B2
B3
B6
B12
Vit C
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5
Q

Methylmalonic acid and succinate are markers of what deficiency?

A

Adenosylcobalamin

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6
Q

Elevated RBC folate or serum folate could be a sign of what?

A

Methylcobalamin deficiency

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7
Q

Elevated NO may be a sign to use what to reduce those levels?

A

Hydroxocobalamin

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8
Q

What vitamin can become deficient with anesthesia?

A

B12

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9
Q

What is the most active form of folate?

A

Methylfolate

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10
Q

What is the enzyme that produces folate?

A

MTHFR enzyme

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11
Q

What happens where there is too much methylfolate?

A

Methyl trapping

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12
Q

Having too much methylfolate without adequate B12 may cause what to happen?

A

Blocking of methionine cycle, leading to increased homocysteine levels

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13
Q

What is the form of omega 3 FAs found in flaxseed oil? What does this need to be converted to?

A

ALA converted to EPA

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14
Q

What percent of fecal mass is bacterial?

A

50%

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15
Q

Intestinal microflora weight how much?

A

3 lbs

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16
Q

What is the benefit of taking probiotics with an antibiotic?

A

Reduce resistance

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17
Q

What are the supplements needed to offset the effect of screen time on eyes?

A

Lutein and zeaxanthin

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18
Q

What are the supposed benefits of CoQ10?

A

Cardiac health

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19
Q

What is the effect of berberine?

A

Phytochemical to control blood sugar

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20
Q

What is the effect of large amounts of melatonin?

A

Keeps awake

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21
Q

Do fat burners work?

A

No

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22
Q

What are direct methods?

A

Direct = deal with individual and measure objective criteria

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23
Q

What are indirect methods?

A

Use community health indices that reflects nutritional influences

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24
Q

What are the ABCDs of nutrition assessment?

A

Anthropometric measurements
Biochemical data
Clinical
Dietary

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25
Q

What is anthropometric data?

A

Height
Weight
BMI
body fat %

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26
Q

What are better measurements than BMI?

A

Waist circumference

Body fat %

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27
Q

Pale nails can be indicative of what?

A

Anemia
CHF
Liver disease
Malnutrition

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28
Q

Fingernails that are white with darker rims = ?

29
Q

Rippled nails = ?

A

Psoriasis or inflammatory arthritis

30
Q

Hair that is easily pluckable or corkscrewed =?

A

Protein or vit C deficient

31
Q

Follicular skin/hyperkeratosis = what deficiency?

A

Vit A and C

32
Q

Red scaly skin on the face = what deficiency?

33
Q

Pale, fissured tongue = what deficiency?

34
Q

Cracked lips = what deficiency?

A

Vit B2 or dehydration

35
Q

Swollen/slick tongue = what deficiency?

A

Riboflavin, niacin, folate, B12, Fe, protein

36
Q

Bleeding gums or gum disease = what deficiency?

A

CoQ10
Vit C
Folate

37
Q

Cold hands may indicate what deficiency?

A

Mg
B12
Fe
Niacin

38
Q

Extremity edema = what deficiency?

39
Q

Paresthesias or numbness in a stocking glove distribution = what deficiency?

A

Thiamin (beriberi)

40
Q

Tetany = what deficiency?

41
Q

Cognitive/sensory deficits = what deficiency?

A

thiamin
niacin
pyridoxine

42
Q

Muscle wasting= what deficiency?

43
Q

bone tenderness = what deficiency?

44
Q

arthralgias = what deficiency?

45
Q

Diarrhea = what deficiency?

A

Protein
Niacin
Folate
Vit B12

46
Q

Diarrhea and dysgeusia = what deficiency?

47
Q

Dysphagia = what deficiency?

48
Q

Floating poop = ?

A

Fat malabsorption

49
Q

Type 1 - 7 poops = ?

A

1 = separate hard lumps
4 = regular
7 =diarrhea

50
Q

What are the symptoms of extreme dehydration in infants?

A

Extreme fussiness or sleepiness

51
Q

What are biometrics?

A

Lab values/mineral analysis

% body fat

52
Q

What are the advantages biochemical methods of nutrition assessment?

A

Accurate and precise

Early detection

53
Q

What are the disadvantages biochemical methods of nutrition assessment?

A

Expensive
Time consuming
Needs trained personnel

54
Q

What are prealbumin and albumin useful in measuring?

A

Overall prognosis and severity of illness, but not accurate markers of protein in critical status

55
Q

High albumin levels are likely due to what?

A

Dehydration

56
Q

What are the vitamins that we have biochemical markers for?

A 
D
B12
Folate
A
C
B6
Thiamine
57
Q

What are the three minerals that we have markers for?

58
Q

Why can B12 levels appear normal?

A

May not be in the cells

59
Q

Small lunulas are indicative of what?

A

Poor B12 absorption

60
Q

High or low in inflammation: albumin

61
Q

High or low in inflammation: pre-albumin

62
Q

High or low in inflammation: ferritin

63
Q

High or low in inflammation: CRP

64
Q

High or low in inflammation: plasminogen activator

65
Q

High or low in inflammation: D-dimer

66
Q

High or low in inflammation: ESR

67
Q

White specks in a fingernail = what deficiency?

68
Q

What is the hydrogen breath test used for?

A

Dysbiosis

Lactose intolerance

Nutrition (31 decks)

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